Services provided at our office include:
	Eye Examinations		Contact Lenses
	Eyewear		Children's Vision
	Laser Vision Correction		Surgery Co-Management
	Eye Infections, Eye Injuries, Dry Eyes		Eye Diseases; Cataracts, Glaucoma, Diabetes
	Low Vision Services		Vision Therapy

Drs. Terry Cole, Kristine Cole and Jeffrey Krohn work hard at insuring that EVERY examination is a THOROUGH examination. By investing in the most state-of-the-art equipment and retaining one of the best trained and most knowledgeable staff in the valley, our attention to detail and committment to excellence shows through.

The first examination may require that the pupils of your eyes be dilated. You should be able to drive, but we suggest you arrange for someone to drive you home if you are not comfortable with this. It is an option to delay the dilation until la later time, perhaps when your new eyeglasses or contact lenses are ready to pick-up.

We promise to take time both during and after your examination to fully explain the testing results with your options and answer all of your questions. We will make recommendations for your continuing professional eye care that meet your personal needs.

We provide a very sophisticated contact lens service. This includes the fitting of every lens design: soft, hard, has permeable, extended wear, bifocal, astigmatism and disposable contact lenses. We have an "on premises" lens inventory that numbers in the thousands of lenses! We pride ourselves in providing thorough follow-up care after the contact lenses are received to insure a comfortable and clear lens experience.

Our optical department has the latest in eyewear styles and designs to meet any taste! We purchase and carry only functional, attractive and well crafted eyewear frames so that you receive the best. We provide a full warranty on quality during the first year of wear! Our lenses are of the highest caliber material and optical quality for the vry best in vision in the thinnest and lightest possible lenses! For sun wear, we rely upon either glare-reducing polarized lenses or the convenience offered by Transitions light-sensitive lenses that change with the sunlight.

Children have a VERY special place in our practice! Dr. Kristine Cole has dedicated her entire professional career to the development and maintenance of excellent visual abilities in children. She provides basic vision care needs as well as advanced consultation in cases of learning delays and deficiencies. Vision therapy is provided at our office when indicated for maximum visual performance. Our EYEWEAR selection for children is superb! We choose extremely durable yet very attractive frame styles and use lenses for children that are protective and absorp ultra-violet radiation! Our younger patients LOVE coming to the eye doctor!

Our office has very specialized equipment that allows us to do an eye examination as early as 4 months of age. This is a very critical time in visual development when many problems can first be seen and treated. This is followed with a comprehensive examination at age 3 and then annually to be sure there are no visual problems during the important learning years. We work hard to establish a trusting, comfortable (and even fun!) relationship with our young patients. We have been in practice for 24 years, so we are now seeing many parents (that we saw as children) bring their children to see us.

Most people with vision correction issues are wanting to know more about LASIK and whether it is right for them. Here is a brief description of the procedure;

A flap is surgically cut in the cornea and gently folded back. An Excimer Laser is used to reshape the cornea into a flatter shape (this is much like a contact lens corrects vision by forming a new shape on the cornea). The flap is then put back in place, acting like a natural bandage. The healing process is quick and the discomfort level is quite low.

People will often say that they did not feel anything, and could see well the very first day. Most people have improved vision in 24-48 hours. but it must be noted that each person will heal at a different rate. Vision, although greatly improved immediately after surgery, often continues to improve for some weeks, even months.

LASIK is not for everyone. People's eyes are different so even though you may have had a friend who has had LASIK, it may not be the best course of treatment for you. If you are interested in laser vision correction, we will be happy to guide you in picking the right surgeon, procedure and laser appropriate for you.

After the procedure, we take great care to monitor your eyes and adjust your medication for the best possible results.

We hand pick the surgeon whose skill, staff and facility match your surgical needs.

Our office provides many of the surgical services such as Cataract surgery, Laser surgery, Refractive surgery and Strabismic surgery. We offer this in conjunction with the hospital and local eye surgeons.

Additionally, we have working arrangements established with other specialized eye care doctors to manage such things are retinal detachments, retinal tears and hemmorhages.

Our office provides emergency services for eye infections and eye injuries. Please call our office at 559-229-7202 during office hours, after hours or on weekends. Our staff will work with you to schedule an appointment as soon as possible. State of the art microscopes allow us to examine the front surface of the eye and facial areas around the eye for infection or injury. After assessing the extent of the injury or infection a treatment plan will be formulated and explained to you. Treatment may include medications and supportive care. Follow-up visits to monitor your recovery will be scheduled as needed.

Dry Eyes: Symptoms include scratchy eyes, burning, mild redness and gritty feeling eyes. Oral medications, reading, computer tasks and dry environments may aggravate marginally dry eyes. Dry eyes can be diagnosed by using dyes to observe tear patterns, evaluation of the amount of tears on the front of the eye and from review of your symptoms. Treatment may include artificial tears; eye drops for treating allergies; and/or punctal plugs inserted in the tear drainage canals.

Cataracts: The natural lens in the eye gradually becomes less clear as we get older. When opacities develop in the lens and the lens gets too hazy, vision will be impaired. Our office can diagnose and manage cataract care. When the cataract affects the vision to the extent that you cannot read or see distant objects comfortably, we will recommend cataract surgery. Our office co-manages with cataract specialists that are proven experts in cataract surgery. Cataract surgery can provide you with a bright new world of vision.

Glaucoma: Glaucoma gradually destroys the optic nerve tissue in the back of the eye. The greatest danger of glaucoma stems from the fact that the disease is painless and without obvious symptoms until significant damage has occurred. The most common cause is from pressure being too high inside the eye, but vascular disease and other diseases can also cause glaucoma. We always monitor for glaucoma during routine eye examinations. Tests include checking the pressure of the eye, screening for peripheral vision defects and analyzing the appearance of the optic nerve. If you are diagnosed with glaucoma, we typically prescribe medications that lower the eye pressure. Most forms of glaucoma are successfully treated with eye drops. Laser treatments and eye surgery are secondary treatments that offer alternative ways to treat more advanced glaucoma.

Diabetes: Diabetic patients should have a dilated retinal examination each year. Laser treatments have proven to slow the progression of retinal eye disease for many patients. Diabetes often stimulates the growth of new blood vessels in the back of the eye, which ultimately leak and damage the retina. If this condition is discovered early, laser treatment can destroy these vessels. We have the latest instruments used to detect changes in the back of the eye. If we discover advancing diabetic eye disease that can be treated or needs further evaluation, we will refer you for consultation and further testing to a board certified retinal specialist.

People who have lost eyesight due to injuries or eye disease need special types of products to help them function as independently as possible. We offer a full range of these products through our office. Our paraoptometric staff is trained to demonstrate the use of some of these devices. They range all the way from a simple hand magnifier to a closed circuit TV system.

In addition, we can direct those who have low vision problems to products that will help them carry on the day-to-day tasks that they need to perform. In some cases we can set up a program for the low vision patient with the National Library of Congress to receive "books on tapes", which is a service for the blind.

Seeing clearly is not enough. For many people, reading and hand-eye coordination tasks can be very difficult. The act of sight not only includes ones eyes, but it also includes the neurological activity that processes the visual information. Throwing a ball or skiing down a hill, is a learned activity; to do either well takes practice. Those who do it best are those who started learning at the earliest age. Sight plays an important role in the learning of these activities. Sight is the steering mechanism; it is the main activity that provides feedback regarding what really is happening. We provide Vision Therapy to help individuals learn how to process visual information and develop better hand-eye coordination skills.